Physician Compare National (NPI:1518071638)

HEALTHCARE PROVIDER: CHARLES D VARELA M.D.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1518071638
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	1759276090
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20090519000624
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	VARELA
	Individual professional last name
Provider First Name	CHARLES
	Individual professional first name
Provider Middle Name	DEAN
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	UNIVERSITY OF NEW MEXICO SCHOOL OF MEDICINE
	Individual professional's medical school
Graduation Year	1985
	Individual professional's medical school graduation year
Primary Specialty	ORTHOPEDIC SURGERY
	Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1	HAND SURGERY
	First secondary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 2	NEUROSURGERY
	Second secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties	HAND SURGERY, NEUROSURGERY
	All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information
Line 1 Street Address	2110 E MAIN ST
	Group Practice or individual's line 1 address
City	MOUNTAIN VIEW
	Group Practice or individual's city
State	AR
	Group Practice or individual's state
Zip Code	725606439
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	041310
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	STONE COUNTY MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	040027
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	BAXTER REGIONAL MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	040119
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	WHITE RIVER MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 3
Professional Accepts Medicare Assignment	Y